When students do not complete their homework, I have them complete this form and put it on their desk. (I have a bin at the front of the room with forms in it.)
I collect the completed forms as I check homework, and file them away by class. It is a great help when parents ask WHY their child received a zero for the assignment.
Form is designed to be cut at 3.5 inches, 7 inches and 10.5 inches.
Editable WORD document attached. Fonts used: Arial Black and Arial Narrow.